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Home My WebLink AboutTR-4197Board Of $ou.thoid"Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4197 DATE: ..~[ltne 25, 1993 ISSUED TO Dr...Gelas.tino...Clemcnte .......... Pursuant to +he provisions of Chapter 615 of the Laws of the State of New York, 1893; and C.lnapter 404 of the Laws of the State of New York 1952; and the Sou+hold Town Ordinance eh- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN 'WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a r~eefing held on ~Tune ~.~ 19 93. , and in consideration of the sum of $ B0.00 paid by Rainbo ,.Inc. qR. b~i.~ .f~f ]~.T~ C:~f~F~B~ ................ of N.Y. and subject +o the Terms and Conditions Ils+ed on the reverse side hereof, of Soufhold Tow. Trustees authorizes and permits the following: to construct a 342' bulkhead with (2) 20' returns above the MHW mark and along the toe Of the bluff. Backfill behind with approx. 4?5 c.y. of clean fill trucked in from an uplanc source, trim overhanging vegetation. Plant bluff face. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes, its Corporate. S.e. al to be affixed and these p.resenfs to be subscribed by a malonty of the.~sa,d Board as of tbs date. TRUSTEES John M. Bredemeyer. IIL President Albert J. Krupski. Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN- OF SOUTHOLD SUPERVISOR SCOTT L HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 COASTAL EROSION MANAGEMENT PERMIT Permit Number: 99-3-13 Name of Applicant/Agent:Rambo, Inc. Name of Permittee: Dr. Celestino Clementa Address of Permittee: 364 Ridgewood Ave, Glen Ridge, NJ 07028 Property Located: Bailie Beach Road, Mattituck DESCRIPTION OF ACTIVITY: to construct a 342' bulkhead with (2) 20' returns above the MHW mark and along the toe of the bluff. Backfill behind bulkhead.with approx. 475 c.y. of clean fill trucked in from an upland source. Trim overhainging vefetation at the crest of the bluff to allow for a natural angle of repose of approx. 45 degrees, plant bluff face with beach grass on foot on center. Date of permit issuance: June 24, 1993 This permit is valid for a period of two years from the date of issuance. SPECIAL CONDITIONS: NA Bluff restoration through a re-vegetation agreement is attached hereto and is a necessary special condition of this permit. NA A relocation agreement is attached hereto and is a necessary special condition of this permit. NA A maintenance agreement is attached hereto and is a necessary special condition of this permit. John M. Bredemeyer, III President, Board of Trustees / TRUSTEES John M. Bredemeyer, III, President Albert J. Kmpski, Jt.~ Vice President Henry P. Smith John B. Tuthill William G; Albertson Telephone (516) 765-1892 Fax (5J.6) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Tow~ Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 COASTAL ~ROSION MANAGEMENT PERMITAPPLICATION TOWN-WETLANDS PER~iT APPLIC~TION TROS~EE LANDS PERMITAPPLICATION ~__%Trustee Lands Permit Application ~i43randfather /~e6mpleted Apps, CAC comments-Dater SentS-ID- Rec. ~Variance Required, L~Nelghbors notified Datel SEQ~ ~pe ~ ~Coord. Review-opt.jmand, ~QR~Deker~in./da~!~.~/~ Publi~ Hearlng/dake:~ Fihdings: Permit vote: (Y/N): special Condikiong: (also see file) qOL! Date Rec, by offic~ Application Fee: Applioation Number; ScTM #1000- Project Name (If any) Clemente Date Preparedl April.12,1993 Applicant: Thomas Samuels- James Address: Bish6ps Lane, Southamptonr 99-03-13 B, Rambor Inc~ NY 11968 Phone 516 ) 283-1254 Interest: [owner, consultant,lessee,ete~) Agent Owner of Address Property: Dr. Celestino ~lemente 364 Ridqewood Avenue Glen Rid~e~ NJ 07028 Phone (201) 743-5188 Subject Property Locationl Bailie Beach Road MattitUck~ NeW York '{Provide LILCO Pole #, Distance to cross Streets if not on location map) Page 1 Width of canal Depth a~ iow Distance extends beyond Area eserlbeknoWn been issued to erect structures~ pre~i§es~ No rev0k~d or SUSpended by a Has any lcenEe Or per~lt.ev~ b~en Governmental ~ey: Nn ProjeGt Description The pro3ect description must also inclUde Plans for reclamation of land d~st~Dbed du~ing construction of the principle and accessory StrU~f~f~S and ~n~e~ground Structures (i~e~ pipeline and septxc sy~ ~ake add~tl0hal attachments if nec~ssary)~ See'attached '. ...... Authorization (Wher~ the applicant is not the owner) I ~p~.~..ff~/~loDw._~o~b.~esiding ,at ~/~ '/~;~3~9~; ~ ~ - ~ 3ect proper~y) (Mailing addreSs-phone) do hereby a6~horize ~ ,- . to apply f6r C°as~/~~it~rom the southold ToWn TrUsteeS ~~e~ ........... ~ ' THIS IS NOT A PE~IT Page 2 Project D ' ' e~crmp%lon Construct a 342 Foot bulkhead with two twenty foot returns above the mea? high yater mark ahd along the~toe of the bluff. Backfill b~hind bulkhead with approximately 475 cubic yards of ~lea~ fill trucked in from an upland source~ Trim overhanging v~getation at the crest of t~e bluff to allow for a ~&tucal angle of repose of appCoXimat~ly 45 deg{ees~ Pi~n~ bi~f fac~ With b~ach gr~ 0~ foo~ on center. ~ nty of Suffolk ) State of New York ) Thomas Samuels AFFIRMS THAT HE/SHE IS THE, PERMiT(S) AND T~T ALL STA THE BEsT oF HiS/HER ~OWL~DGE DONE iN THE MANNER S~ FORTH DULY SWORN DEPOSES AND IBED ARE TRUE TO WILL BE MAY BE IN TO THE TRUSTEES~ MY PROPERTY OF THIS SIGNATURE SWORN TO BEFORE ME THIS ~Ff'-DAY OF MICHAEL (3. WALSH Notary Publl~, State of New York NO. 4942746 -,$~olk Coutity,~ Cornmt~ton Expire~ Oct. 3, i9_.~ Suggested space for location Map THIS IS NOT A PERMIT Page 3 d~OOMENT PORM SEQR v ~ I~,,~,,..,~u. etd., of ~rogtdd mdp) ~dja~en~ %0 ~nd &&~t of the termih~s at B~lie Beach Road~ Hamlet See att~hh~d ~ 1. AMOUNT OF LAND WILL ~fiG~u~:~ ACTiO~I COMPLY WiTH ~i~TIN~ [] Agrlouitu~e [] P'~rPJFoi*e§t/opdil ~Paea [] oth~lt ANY OTHEfl OVER PART II--ENVIRONMENTAL ASgEgSME,,,, (To be cumplet~d by Agency) A. DOES ACTION EXCEED ANY TYPE I THREgHOLD IN B NYCRR, PART ~t7.t2~ If yea, co.or~lr~{~ the review proc~J ~nd fla~8 ~h~ FULL ~F. L WILL ACTION RECEIVE COORDINATED REVIEW AS ~O~JibED FOR UNLISTED ACTIONS tN B NYCRR, PART 6t?.$? if Ho. a hagstlve declaration may be ~uoers~ded by ~nother Involved C. ~ULD ACTi~ RESULT iN ANY ~DV~ ~F~TS A~SOCIATED WITH TH~ FOLLOWING: Answer~ may be Cf. Exlstl.g air quality, suHece 6~ ~6d~ ~t ~ua It~ o~ ~d~nt~, holes level~, exl~Ung traffic pattern~ ~olld pofent~al for erosion, dra nag~ ct tl~dlng probi~ms~ ~ptaln brle~Jy: Aesthetic. a0rlcultural, archaeological, historic. Or oth~i* natural or cultural resources: or communlt~ bi' helgbborBood eh,tr~ht~,r? ~:~l~dh bdal¥ C3. Vegetation or fauna, fish, Shellfish or Wlldltfe §pecles, slgnlflcitht h,~bltats, or fhraatened ur endangered apecl,~? Explatri brlbily: Cl. A community's existing plans or goali ~ oNIclally Adopted or ~' bheng~ in uae or Intensity of uae =f I~def'ot~er nattJtal t~loUtc~&~ {~xll~lfi bi* cs. Growth. ~ubseauent development, or reldted activities Ilke¥ to be Induced.by the proposed action? ExplAIh briefly. CB. Long term. Short term, cUmulatN~, or othei' ,~ffecia not Idedtlflad in Dt-CS? Explain briefly. C~. Other fmlSacts (including change~ In uae ~f ~lfber quantity er typ6 6f ~n~rgyt? ~xpl~ln briefly. D )~ THERE~ OR IS THERE LIKELY TO .B~, CONTROVERSy RELATED TO POTENi'IAL ADVERSE ENVIRONMENTAL [~ Y~ [] fid ti Ye§, aXi~ ~'1~ 6rl~fly PART Itt--DL=I'I~#MiNMIOH 0~- ,~iGNI~it~ANC~ ~6 be ~o~t~t~O by Ag~bY) ~ Ch~ck thl~ bo~ If you hav~ Identified oh~ ~ ~0t~ pote~l~iiy large of ~l~tfl~{ adverse i~abt~ Which MAY ob~ur. Theh ptoo~d directly i0 th~ FULL ~A~ ahdlOf pre,ate a positive de~lar~tloh. ' Print or Type Name=of Responsible Officer irt Lead Agency "Title of ~es~onsible o~tlc~r PILE J Albert J. ~jap~k~, Jr., Vice eresWe~ W~tl~m G. A~Mnso~ Telephone (516) 765-1892 Fax (516) 765-1823 SUI'EP, VISOR SCOTT L HARRIS Town Hall 53095 Main Road EO Box 1t79 Southoid, New York 11971 Ch~ptgr 37 Sguthoid T~Wn COde so~th~id ~ku~ ~§ (type e~ prink §k~t add~s) SCTM ~i000_ in applying f~ a CoaStal R~ib '-~m~ program for a ~t~U~tU~ ~O~iy knoW~ of as shown on th~ attached ' feet of l~n~th ticen~d Sur~y of th~ aS-built Str~eture. ~ ,, ~ .... ~ .... hd k~a%, for any maintenance wh~ inV~ige~ ~or~ that 5% in length Of ~his st~cl~re w~ ar~ tO ~ive ~ , . ~D s~at natural reso~rda ~eat btuffD oc w~ ...... ~ ~.~ Utes such as m ~ ~ .... ~ ~ ~ . , ~ahd %hat .......... hSt a~P~a~ance~OU~d t3sm~i~ ptop~r~y or ~mPor~ank ~alUral Please Sub~i% ~hr~e ~opie~ of a ligenSed ~and ~utvey made Within on~ F~ar of kha ori~nai conatr~ct~o~, Thi~ ~ainh~nance agreement, ~ shall Ohly be Valid upoh th~ final approval of ~he a~mln~trRhor, gub~a~u~nt ownat~ may apply to ~he So~thold Town Trustees to re-authorize this maintenance agreement. TRUSTEES John M. Bredemeyer, III. President Albert J. Krupski. Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 June 30, 1993 Thomas Samuels James H. Rambo, Inc. Bishops Lane Southampton, NY 11968 Re: Dr. Celestino Clemente SCTM ~100~-99-3-13 Dear Mr. Samuels: The following action was taken by the its regular meeting held on Thursday, above matter: Board of Town Trustees during June 24, 1993 regarding the WHEREAS, Rambo, Inc. on behalf of Dr. Celestino Clemente applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 28, 1993 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on Thursday, June 24, 1993 at which time alt interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED that the Board of Trustees approves the application of James Rambo, Inc. on behalf Dr. Celestino Clemente to construct a 342' of bulkhead with (2) 20' returns above the M~W mark and along the toe of the bluff. Backfill behind bulkhead with approx. 475 c.y. of clean fill trucked in from an upland source. Trim overhanging vegetation at the crest, of the bluff to allow for a natural angle o~ repose of approx. 45 degrees. Plant bluff face with beach grass on foot on center. Permit will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Permit will be issued upon payment o~ the following fees for work to be done below Mean High Water Mark: No fees truly yours, John M. Bredemeyer, III President, Board of Trustee JMB: jd TRUSTEES John M. Bredemeyer. Iti. President Albert J. Krupski. Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN- OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-99-3-13 Chapt. 97 - Wetlands NAME: Dr. Celestino Clemente Chapt. 37 - Coastal Erosion DATE: May 26, 1993 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Type II DESCRIPTION OF ACTION: Applicant proposes to construct a 342' bulkhead with 2 20' returns above mean high water mark and along the toe of the bluff. Backfill behind bulkhead with approx. 475 c.y. of clean fill trucked in from an upland source. Trim overhanging vegatation at the crest of the bluff to allow for natural angel of repose of approx. 45 degrees. Plant bluff face with beach grass one foot on center. Located Bailie Beach Road, Mattituck. LOCATION: $CTM ~1000-99-3-13 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects ~o the environment are likely to occur should the following mitigation measures be implemented. cc: CAC New York State Department of Environmental Conservation OF SOUTHOL ThOmas C. Joding CommisSioner RE: LEAD AGENCY COORDINATION REQUEST The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: (e(PS+,kb ~ I¢/~ ~no~pe~ Project Location: DEC Project: Number: DEC Permit:s: ?i o~0~{ tc, P-2t/o-<CF SEQR Classification: [ ] Type I [~Unlisted DEC Contact Person: ~F-~ /Q~L~¢ ¢ DEC Position: [] DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. [ ] DEC has no objection to Your agenc~ Jr an6ther agency assuming lead agency status for this action, but we have. the.f~llowing concerns regarding this project (see "comments" below)J~' ~F;~- ~ ~F~ DEC wishes to assume lead agen~y'status for this action. [ ] The proposed action has been identified by DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated Dy ~ It is the position of this Department that your agency, if it has a juris- diction over the action, should assume the lead agency rote based on the existence of the CEA and the fact that the anticipated impacts are orimarily of local significance. Other. (See comments below) Comments (Optional): Response: Please respond to this request within 30 days of the ~a~e of this letter. If no response is received within 30 days, we will assume that you have no objection to DECor another agency assuming the role of lead agency, and have no commen~s to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We will petition the Commissioner of DEC to designate a lead agency for this action. [ ] We will petition the Commissioner of DEC to designate your agency as lead, presuming you nave jurisdiction. Please feel free to contact this office for further information or discussion. Sincerely, Enct osures cc: (see distribution list) 14-16-~ [2/87)-- 7c 617.21 Appendix A State Environmental Qual ty Review FULL ENVIRONMENTAL ASSESSMENT FORM SEQR Purpose: The full EA.F, is designed to help applicants and ageficies determine in an order y manner whether, a project or action may be sigmfican~. The question o~ ,Whether an action .may be slgn~ficant is ~ot a ways easy fo answe'r~ Frequent- ly, there are asp;acts Of a pi-~j~ct tbat~e Sbbjective 0r unmeasureable., t is also un~der~tood that thos~ Whb dc=term[ne sigr~ificance ma~/,ha~e little or nb f0fm~l knowledge of the environment or may be techqica y expert in environmental analysis, tn addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the questi0fi Of significance. ' , The full EAF is intended to prov de a. method whereby appl cants and agencies can be assured that the determination process has been or'd~r]¥, comp~:ehensiVe in nature, yet f exib[e to allow introduction of information/~0 fit a pr6ject or action. Full EAF ComPOnents: The full' EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Par! 2: Fo,cuses on dentif¥ ng the range of possible mpacts that may occur from a project or a?.t on It provides guidanceas to wh~ther an impact is like y to be cons, idered sma to moderate or whether t s a potentially- larg~ impaclt ~he lorn4 a so identifies whether an ~mpact can be mitigated or reduced. Part 3: If any impact n Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE--Type I and Unlisted Actions Identify the Portions of EAF completed for this project: [] Part I [] Part 2 []Part 3 Upon review of the information recorded on this EAF [Parts 1 and 2 and 3 if appropriate}, and any other supporting information, and considering both the magitude and importance of each impact, it is reasonably determined by the lead agency that: . -, [] A. The proiect wil not result in any large and important impact[s} and, therefore, is one which will not have a significant impact On the environment, therefore a negative declaration will be prepared. [] B. Although the project could have a significant effect on the enwronment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* [] C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. L~.~A Conditioned Negative Declaration is only valid for Unlisted Actions Celestino 'Clemen~e Name of Action Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the ac{ion proposed may have a significant effect on the environment. Please com~)lete the entire form. Parts A~ tht0ugh E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review: Provide an%, additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each iestance. NAME OF ACTION Celestino Clemente LOCATION OF ACTION (include Street Address. Munlclpalay and County) Bailey Beach Road, Mattituck, NY 11952 NAME OF APPLICANT/SPONSOR Celestino Clemente ADDRESS 364 Ridgewood Avenue BUSINESS TELEPHONE t 20% 734-5188 CiTY/PO STATE ~ ZIP CODE Glen Ridge NJ 07028 NAME OF OWNER (If different) I BUSINESS TELEPHONE I ADDRESS CITY(PO STATE I ZIP CODE DESCRIPTION OF ACTION See attached Please Complete Each Question- Indicate N.A. ii not applicable A. Site Description Phvsical setting of overall project, both developed and undeveloped areas. 1 Present land use: [:]Urban [:]Industrial [:]Commercial mResidential (suburban) [:]Rural (non-farm) [Forest [:]Agriculture []Other :~. Total acreage of project area: 2.7 4 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION a~low or Brushl~nd (Non-agricultural) ~ uplands ) l _ 71 acres 1 _ 7 1 acres es/ed ' acres acres Agricultural [Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24. 25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) ( beach ) n _ 6 0 acres n _ ~n acres Roads, buildings and other paved surfaces · 0.13 acres 0.13. acres Other (Indicate type]_ Bluff 0.29 acres 0.29 acres 3. What is predominant soil type(s) on project site~ a. Soil drainage: 'Well drained 100 % of site [~Moderately well drained % of site [Poorly drained % of site b If any agricultural land is involved, how many acres of soil are classified within soil~group 1 through 4 of the NYS Land Classification Svstem:~ NA acres. (See I NYCRR 370). 4 Are there bedrock outcroppings on project site~ [:]Yes ,No a. What is depth to bedrock? (in feet) · 5. Ap~)roximate percentage of proposed:project sitewith slopes: m0.10% 18 ~'~ % 110-15% 66 % ' ' ~=l/¥5~%'or greater i6 % 6. Is proiect substantially contiguous to, or contain a building, site, or district, listed o~ the State or the National Registers of Historic Places? E]Yes 1No 7. Is project substantially contiguous toa site listed on the Register of National Nataral Landmarks~ ~lYes 8. What is the depth of the water table? ~az~ (in:fe~t) ' ' " -' 9. Is site located 0var; primary, prin~i~al~ or'sole source ~quif~r~ lYes. 10. Do hunting, lis~hing or shell fishing opportunities presently exist in the project area?, lYes ~No 11. Does proiect site contain any species o! plant or animal life that is identified as threatened or endangered? OYes 1No According to Bruce Anderson, Suffolk EnvirOnmental Consulting Identify each species 12. Are there'any unique or unusual t~and forms on the project site? (i.e., cliffs, dunes; other geological formations] ~Yes [~No Describe seve~elv eroded bluff 13. Is the project site presently used by the community or neighborhood as an o~en spac6 Or r~creation area? OYes I~No If yes, explain 14 Does tl~e present site include scenic views know, to be important to the community? ~Yes [~No 15. Streams within or contiguous to project area: NA a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas Within or contiguous to project area: a. Name Lc~n? T~lan.-q .~n,ma b. Size (In acres] 24~ +_. sq. miles t7. Is the site served by existing public utilities? E3Yes INo a) tf Yes, does sufficient capacity exist to allow connection? ~Yes b) If Yes, will improvements be necessary to allow connection? ~lYes F1No 18. Is the site located in a~ agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? E]Yes 1No 19. Is the site located in or substantially contiguous to a'Critical Environmental Area designated pursuant to Article of the ECL. and 6 NYCRR 6177 I-lYes 20. Has the site ever been used for the disposal of solid or hazardous wastes? E]Yes B. ~Project Description 1 ',F~, ic~l dimensions, and scale of proLect [fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor b. Project acreage to be developed: 0. ~ acres i~itially; c. Project acreage to remain undeveloped 2. o 56 acres. d. Length of project, in miles: _ NA (If appropriate) e. If the project is an exl~ansion, indicate percent of expansion proposed ifA %; f. Number of off-street parking spaces exBting NA g. Maximum vehicular trips generated per hour NA h. If residential: Number and type of housing units: One Family Two Family Multiple Family Initially ] Ultimately 1 i. Dimensions (in feet) of largest proposed structure 5 height; 5 width; j. Linear feet of frontage along a public thoroughfare project will occupy is? ~A 2.7 4 acres. 0 _ 0 5 acres ultimately. * 8bulkhead and backfi;hl 3 ; proposed NA (upon completion of project]? CondominiUm = o ~* length. ft.*bulkhead and backfill 2. How much natural material (i.e.. rD;ck, earth, etc.) will be removed from the 3. Will disturbed areas be reclaimed? lYes ONo ONIA a. [ves, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? OYes aaNo c. Will upper subsoil be stockpiled for reclamation? OYes 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? fl acres. 5. Will any mature forest lover 100 years old) or other locally-important vegetation be removed by this project? OYes ONo 6. If single phase project: Anticipated period of construction 7. If multi-phased: a. Total number of phases anticipated _ (number). b Anticipated date of commencement phase 1 Auqust c. Approximate completion date of final phase At~cj'ust d Is phase 1 functionally dependent on subsequent phases? 8. Wilt blasting occur during construction? [~Yes 1No 9. Number of jobs generated: during construction 4 10. Number of jobs eliminated by this project 11. Will proiect require relocation of any projects or facilities? 0 tons/cubic vard. s months. (including demolition). month i993 year, (inclUding demolition). month 1993 year. []Yes INo ; after project is complete 0 . CIYes ~No If yeS, explain 12. Is surface liquid waste disposal involved? r~Yes 1No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water boCy into which effluent will be discharged 13. Is subsurface liquid waste disposal involyed? [~Yes . ~No Type 14. will surface area of an existing waterbody increase ondecrease by proposal? Explain · -, 15. Is project or any portion of project located in a 100 year flood plain? IIYes 16 Will the project generate solid waste? 0-1Yes IIINo a. If yes. what is the amount per month tons b. If yes, will an existing solid waste facility be used? [~Yes ~No c. Ii yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? e. If Yes. explain E]Yes INo ONo OYes E]No 17. t project invo~'ve the disposal of solid waste? a If.yes, what is the anticipated rate of disposal? h. tf yes, what is the anticipated site life? 18 Will project use herbicides or pesticides? OYes E]Yes liND tons/month. 19. Will project rou?nely produce odors (more than one hour per day)? -Wes liND 20: Will project produce operating noise exceeding the local ambient noise levels? E3Yes 21. Will project result in an increase in energy use? OYes ~No If yes , indicate type{s) 22. if water supply is from wells, indicate I~umping capacity NA. gallons/minute. 23. Total anticipated water usage per day NA gallons/day. 24 Does project involve Local. State or Federal funding? nYes INo If Yes, explain ~No 4 25. Apl~tovals Re,aired: ~ ~' Submittal ~' Type Date City, Town, Village Board [:]Yes City, Town, Village planning Board E3Yes E3No City, Town Zo~niog I~oard.. .. .. E~yes City, CoqntY Health,DepartTne0t Oyes Other Local AgEncies mYes [3No Other Regional Agencies [:]Yes State Agencies mYes [No Federal Agencies []Yes [:]No. Southold Trustees 4/93 4/93 C. zoning and Planning Information 1. Does proposed action involve a plan!~in8 or zomn§ decision? E]Yes IINo if Yes. indicate decision required: - E3zonin8 amendment Clzoning variance Clspecial use permit ~3subdivision [3site plan E3newlrevision of master plan :]resource management plan :]other 2. What is the zoning classification{s)of the site? R-40 3. What is the maximum potential developmerlt of the site if developed as permitted by the present zoning? 3. lot 4. What is the proposed zoning of the site? NA 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? NA 6. is the PrOposed action consistent with the recommended uses in adopted local land use planst IIYes 7 What are the predominant land use(s) and zomn8 classifications within a ¼ mile radius of proposed action? R-40 [No 8 Is the proposed action compatible with adjoining/surrounding land uses within a ¼ mile? IBYes [No 9. If the proposed action is the subdivision of land. how many lots are proposed? a. What is the minimum lot size proposed? 10~ Will proposed action require ~n¥ authorization{s) for the formation of sewer or water districts? 11~ Will the proposed action create a demand for any community provided services (recreation, educat, ion, police fi~e protectioq)? [Yes IIINo a. If yes. is existing capacit'r sufficient to handle projected demand? [3Yes [No 12 Will the proposed action result in the generation of traffic significantly above present levels? ~lyes INo a. If yes, is the existing road network adequate to handle the additional traffic? ~Yes E3No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse ~mpacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Bruce A. Anderson Applican~sor. Name. -,,~ --'; .......... S.gnatur~~../-.~..../~.- - Title Agent If ~e adion is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 Date April 28, 1993 NEW YORK STATE DEPARTMENT OF~.~ RONMENTAL CONSERVATION ~ 'JOINT APPLICATIbN FOR PERMIT [ ~A~I~x--~PSOF ENG{NE~RSAPPLICATION NO ~ARTICL[ 9, TITLE 1, ARTICLE 43 6NYCRR 646 [LAKE GEORGE R~CR[ATION ZONE) ~AgTICLE 25 6NYCRR 661 [TIDAL WET~ANDS) ~ARTICLE 34 6NYCRR 505 (COASTAL EROSION: APPLICANT IS AlAN ~Owner ~Opera[or ~Lessee ~MunicipaHty/Governmenta Agency, tCheck as many as apply} CELESTiNO CLEM ENTE: A4AJLING ADDRESS 864 R1DGEWOQD AVENUE POST OESCE GLEN RIDQE. NJ 07028 STATE J ZIP CODE / 4 NA/vlE OF [~Owner ~A~ent/Contact Person [Check one] Bruce A. Anderson - Su££olk ~.nvironmental Consult±hq, Thc. P. O. BO× 958 (5].6 726-1919 Water Mill ~ - NY 1 County Suff elk I Tow. or c,w Southold I ¥iUa~e NA Bailie Beach Road =k NAME OF STREAM OR BODY OF WATER Long Island Sound ~]¥es ~J~] No Show work on mad anator drawings · 1 ,,,,h,, N ~ ............... J August, 1993 September, 1993 ~25EEe200.00OF (NYS ~rm,tEnclo$~a See attached 14 WILL THIS PROJECT REQUIRE ADDIT [DNAL FEDERAL STATE AND/OR LOCAL PERMITS~ ~ xes [] No If yes, ~)lease list Southold Town Trustees - Coastal Erosion Management Permit